Individual
DR. JEFFREY LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
210 N LAFAYETTE ST, SOUTH LYON, MI 48178-2048
(248) 437-1744
Mailing address
18357 W 13 MILE RD, APT 32, SOUTHFIELD, MI 48076-8009
(517) 862-1729
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5101022732
MI
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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